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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2019 | Distal Radius Fracture | Research article

Clinical outcomes in distal radial fractures with ipsilateral arteriovenous fistulas

Authors: Hao-Ming Chang, Yi-Chuan Chou, I-Ming Jou, Jui-Ming Yang, Ching-Hou Ma, Po-Ting Wu

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2019

Abstract

Background

We evaluated the effects on arteriovenous fistula (AVF) function and clinical outcomes in patients given cast fixation, external skeletal fixation [ESF], or volar locking plate fixation [VLPF] for an ipsilateral distal radial fracture (DRF).

Methods

Thirteen patients were assigned to the surgery group or the cast group; follow-up was ≥12 months. One-year clinical outcomes and serial AVF function and radiographic outcomes were recorded and analyzed.

Results

All fractures were union and all AVFs were preserved with continuous hemodialysis. The surgery group had better immediately (radial inclination and articular step-off) and 1-year post-index procedure radiographic findings (radial height, radial inclination, volar tilting, ulnar variance, and articular step-off) and better 1-year functional outcomes (Mayo and QuickDASH score) than did the cast group. The VLPF subgroup had better QuickDASH scores and radiographic outcomes (radial inclination and ulnar variance) than did the ESF subgroup.

Conclusions

One year after the index procedure, none of the treatment affected shunt function in DRFs ipsilateral to AVFs. ESF and VLPF yielded better functional and radiographic outcomes than did cast fixation in patients with ipsilateral DRFs and AVFs.

Level of Evidence

III

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Title: Clinical outcomes in distal radial fractures with ipsilateral arteriovenous fistulas
Authors: Hao-Ming Chang
Yi-Chuan Chou
I-Ming Jou
Jui-Ming Yang
Ching-Hou Ma
Po-Ting Wu
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Distal Radius Fracture
Arteriovenous Fistula
Arteriovenous Fistula
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2019
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-019-1171-4

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Clinical outcomes in distal radial fractures with ipsilateral arteriovenous fistulas

Abstract

Background

Methods

Results

Conclusions

Level of Evidence

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Level of Evidence

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